Single vaginal delivery ups later risk of pelvic organ prolapse

November 9, 2012
Single vaginal delivery ups later risk of pelvic organ prolapse
Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

(HealthDay)—Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse (sPOP) is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

Maria Gyhagen, from the Sahlgrenska Academy at Gothenburg University in Sweden, and colleagues examined the prevalence and risk factors for sPOP and concomitant urinary incontinence 20 years after one cesarean section or vaginal delivery. A total of 5,236 singleton primiparae with a birth in 1985 to 1988 with no further births were surveyed using validated questionnaires.

The researchers found that there was an increased prevalence of sPOP after vaginal delivery compared with cesarean section (14.6 versus 6.3 percent; odds ratio, 2.55). No increase was seen after acute versus elective cesarean section. Compared with spontaneous vaginal delivery there was no increased risk of sPOP with episiotomy, vacuum extraction, and second-degree or more laceration. With each unit increase of current and each 100 g increase in , there was a significant 3 percent increase in sPOP. The prevalence of sPOP was doubled for mothers ≤160 cm in height who delivered a child weighing 4,000 g or greater, compared with short mothers who delivered an infant weighing less than 4,000 g (24.2 versus 13.4 percent; odds ratio, 2.06). Compared with women without prolapse, women with sPOP more often had urinary incontinence and urinary incontinence for more than 10 years.

"The prevalence of sPOP was doubled after vaginal delivery compared with , two decades after one birth," the authors write.

Explore further: Incontinence 20 years after child birth three times more common after vaginal delivery

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Incontinence 20 years after child birth three times more common after vaginal delivery

March 26, 2012
Women are nearly three times more likely to experience urinary incontinence for more than 10 years following a vaginal delivery rather than a caesarean section, finds new research at the Sahlgrenska Academy at the University ...

OASIS risk up for nulliparous women with vacuum delivery

August 24, 2012
(HealthDay)—For women whose infants are delivered by vacuum extraction, the risk of obstetric anal sphincter injury (OASIS) is significantly higher among nulliparous women than multiparous women, according to a study published ...

International study shows Caesareans not as 'posh' as commonly believed

June 14, 2011
(Medical Xpress) -- A ground-breaking study of women who have given birth in New Zealand, Scotland and England, has found the strongest evidence yet that having caesarean sections does not always protect women from the common ...

Reduced baby risk from another cesarean

March 13, 2012
A major study led by the University of Adelaide has found that women who have had one prior cesarean can lower the risk of death and serious complications for their next baby - and themselves - by electing to have another ...

Fear of childbirth increases likelihood of C-section

September 21, 2011
A new study published in the international journal Acta Obstetricia et Gynecologica Scandinavica (AOGS) reveals that fear of childbirth is a predisposing factor for emergency and elective cesarean sections, even after psychological ...

Women with a fear of childbirth endure a longer labor: research

June 26, 2012
Women who have a fear of childbirth spend longer in labour than women who have no such fear, suggests new research published today (27 June) in BJOG: An International Journal of Obstetrics and Gynaecology.

Recommended for you

Women exposed to smoke while in womb more likely to miscarry

July 13, 2017
Women exposed to cigarette smoke while in their mothers' wombs are more likely to experience miscarriage as adults, according to new research from the University of Aberdeen.

Lack of a hormone in pregnant mice linked to preeclampsia

June 30, 2017
(Medical Xpress)—A team of researchers from Singapore, the Netherlands and Turkey has isolated a hormone in pregnant mice that appears to be associated with preeclampsia—a pregnancy-related condition characterized by ...

Aspirin reduces risk of pre-eclampsia in pregnant women

June 28, 2017
Taking a low-dose aspirin before bed can reduce the risk of pre-eclampsia, which can cause premature birth and, in extreme cases, maternal and foetal death.

The biology of uterine fluid: How it informs the fetus of mom's world

June 22, 2017
A developing fetus bathes in a mixture of cellular secretions and proteins unique to its mother's uterus. Before fertilization, the pH of uterine fluid helps create a conducive environment for sperm migration, and afterward, ...

New clues in puzzle over pre-eclampsia and cholesterol regulation

June 21, 2017
Scientists studying a mystery link between the dangerous pregnancy complication pre-eclampsia and an increased risk of heart disease in later life for both mother and child have uncovered important new clues.

Are maternal hormones different when carrying a boy or a girl?

June 15, 2017
With advances in prenatal testing it's now possible to find out whether a pregnancy will result in a male or female baby as early as eight weeks' gestation.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.